认知与2型糖尿病社区为基础病例对照研究.docVIP

认知与2型糖尿病社区为基础病例对照研究 　　[摘要] 目的 探讨糖尿病认知与2型糖尿病发病的2型糖尿病发病的影响因素，为开展社区糖尿病健康教育和健康促进提供科学依据。方法 对兰州市年龄40岁以上的社区居民1454人进行空腹血糖及餐后2 h血糖测定，同时进行问卷调查和体格测量，获得2型糖尿病疾病认知水平、生活方式，身高、体重等信息。将无既往史而该次体检发现的糖尿病患者作为新发病例，无既往史该次血糖正常者作为对照组，采用单因素和多因素非条件Logistic回归分析筛选2型糖尿病的影响因素。结果 糖尿病家族史（OR=2.098）、体重指数（OR=2.089）、年龄（OR=1.915）、饮食习惯（OR=1.206）、性别（OR=0.604）是2型糖尿病发病的主要影响因素。人群2型糖尿病认知水平平均得分为5.80分，认知水平普遍偏低。结论 2型糖尿病家族史、肥胖、高年龄段、不良饮食习惯以及男性是提高发病风险的危险因素，控制体质量和饮食习惯是预防该病发生的重要手段。而糖尿病认知水平与发病之间未发现相关性。 　　[关键词] 糖尿病；2型；认知；病例对照研究 　　[中图分类号] R587.1 [文献标识码] A [文章编号] 1674-0742（2015）08（c）-0035-03 　　Cognition on Type 2 Diabetes Community-based Case-control Study 　　JU Long-fei1，TANG Xu-lei2 　　1.The 513 Hospital of Peoples Liberation Army， Jiuquan， Gansu Province， 732750 China；2.The First Hospital of Lanzhou University， Lanzhou， Gansu Province， 730000， China 　　[Abstract] Objective To investigate correlation between cognition and type 2 diabetes mellitus Pathogenesis， and factors affecting the incidence of type 2 diabetes mellitus， in order to provide scientific basis for the development of diabetes health education and health promotion in community. Methods Fasting blood glucose and postprandial 2H blood glucose were measured for the community residents 1454 aged 40 years or older in Lanzhou， information on disease cognition on type 2 diabetes mellitus， life style， height， weight， etc. were acquired. The diabetic patients who had no history and through medical examination， who were first diagnosed with type 2 diabetes were treated as new cases， and who had no history and through medical examination， were diagnosed with normal blood glucose， treated as the control group， screening the influencing factors of type 2 diabetes by univariate and multivariate unconditional logistic regression analysis. Results Main influencing factors for the incidence of type 2 diabetes mellitus were family history of diabetes mellitus （OR=2.098）， age （OR=1.915）， eating habits （OR=1.206）， gender （OR=0.604）. The average score of the cognitive le